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General NPI Number Information
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NPI Number | 1215208335
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Entity Type | Organization
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Legal Business Name | BAYOU WORK READY INC
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 3620 CHESTNUT ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3615
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Country | US
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Telephone | 504-208-5522
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Fax | 504-208-5511
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Provider Business Mailing Address
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Address Line | 2626 S LOOP W SUITE 522
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-661-2100
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SHARLETTE MORRIS
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Credential |
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Telephone | 713-661-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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